"Dr. Afram is very professional, to the point, no frills, honest. If you need this surgery, he will tell you. He is discreet and kind. His office staff is overwhelmingly helpful and never bothered by follow up phone calls or visits. Dr Afram's aftercare program is very good with nutritionists and psychologist on staff, support groups, follow up visits, on call support. Dr Afram's surgical competence is his strong point- straight \"A\". His bedside manner I'd give him a \"C\". Keep up the good work, he saved my life."